MCMLA Membership Form

Fill out this form, print it, and mail it along with your $15 Membership Fee check to:

Peggy Mullaly-Quijas
Executive Secretary, MCMLA
P.O. Box 2218
Lee's Summit, MO 64063-2218

Make checks payable to MCMLA

Name
Title
Library
Institution
Street Address
City:
State:
Zip:
Phone Number:
Fax:
E-mail:

IMPORTANT - Please answer the following:

Are you a current MLA member? Check one: Personal
Institutional
Both Personal/Institutional
Not a Member
Are you a new member of MCMLA or are you renewing your membership?

New
Renewal

Do you want only your name and e-mail address to be visible in the Membership Directory? Yes
No
Are you a student in an accredited library school program? If YES, your dues will be complimentary for two years starting this year. Yes
No
Are you interested in serving on a MCMLA Committee? Yes
No
If YES, please select the committee for which you would like to serve:
 Bylaws
Education
Governmental Relations
Honors and Awards
Membership
Nominating
Research
Publications
Are you interested in serving as an officer? Yes
No
If YES, please select the position for which you are would like to serve:
 Vice-Chair/Chair-elect
Recording Secretary
Potential Candidate for MLA Nominating Committee

 

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